Anna is a combined hormonal pill containing ethinylestradiol 0.03 mg (a synthetic estrogen) and levonorgestrel 0.15 mg (a progestin) — the latter is one of the longest-used progestins in combined pills worldwide, with decades of use behind its safety data. The two hormones work together to suppress ovulation, thicken cervical mucus to block sperm, and make the uterine lining less suitable for implantation. Anna is sold only as a 28-tablet pack (21 yellow hormone tablets plus 7 white placebo tablets), unlike Diora, the same formula available in both 21- and 28-tablet packs. Anna should not be taken with another hormonal pill or supplement at the same time, since this only adds an unnecessary excess dose of hormones.

Anna suits women of reproductive age who want an affordable combined hormonal contraceptive without having to choose between a 21- or 28-tablet pack — Anna offers only the continuous 28-tablet format, which is simple to follow since there is no separate pill-free week to count. It suits first-time pill users who want an easy routine to stick to, as well as anyone already using a levonorgestrel-based combined pill who wants continuity at a lower cost. Anna is not the first choice for someone specifically seeking treatment for severe hormonal acne or hirsutism, since levonorgestrel has a milder anti-androgen effect than some other progestins — in that case, a pharmacist or doctor can help identify a more targeted formula.

Anna comes only as a 28-tablet pack, divided into 21 yellow hormone tablets and 7 white placebo tablets with no active hormone. Start with the tablet marked by the large arrow, then take one tablet daily following the small arrows in sequence until all 28 are finished, then start a new pack the very next day with no break in between. The advantage of this format is not having to count pill-free days as with a 21-tablet strip, which lowers the risk of starting the next pack too late. A period-like withdrawal bleed occurs during the last 7 placebo tablets. Start the first tablet on day one of the menstrual cycle so contraceptive protection covers from the first tablet; starting on another day requires backup contraception, such as condoms, for the first 7 days.

Common side effects are similar to other combined hormonal pills: nausea, headache, breast tenderness, mood changes, slight weight changes, and spotting during the first 2-3 packs as the body adjusts. Some people may notice mild acne, since levonorgestrel has a milder anti-androgen effect than some other progestins. Most of these effects improve on their own within the first 2-3 cycles. Seek medical attention immediately if you experience one-sided leg swelling and pain, severe chest pain, difficulty breathing, or a severe headache with blurred vision, as these may signal a blood clot.

Do not use if you have a history of venous or arterial blood clots, cardiovascular disease, migraine with aura, breast cancer or other hormone-sensitive cancers, severe liver disease, pregnancy, or while breastfeeding. Smokers over 35 face higher clot risk and should avoid this formula. Certain anticonvulsants and rifampicin-type antibiotics can reduce Anna’s contraceptive effect, so always tell your pharmacist about other medicines you take. Even though levonorgestrel carries a lower clot risk than some progestins, that risk is still higher than for non-users. Stop the pill and see a doctor immediately for one-sided leg swelling or severe chest pain.

Anna uses levonorgestrel, one of the longest-used progestins in combined pills, prioritizing value and a well-established safety record — suited to anyone whose main goal is affordable contraception. This differs from Melodia, which uses drospirenone focused on reducing water retention and facial oiliness, and Marvelon, which uses desogestrel and is a widely recognized international brand. On price, Anna is the most affordable of the three since it uses an older, widely manufactured progestin rather than a newer, costlier one. In short: choose Anna for the most budget-friendly contraception, Melodia for water-retention relief, and Marvelon for a familiar international brand.

Some medicines can reduce Anna's contraceptive effectiveness, including certain anticonvulsants (such as phenytoin and carbamazepine), rifampicin-type antibiotics, and the herbal supplement St. John's Wort, as these speed up hormone metabolism in the liver. If any of these must be used together, add backup contraception, such as condoms, during treatment and for 28 days after stopping that medicine. Always tell your pharmacist or doctor that you are taking Anna before starting any new medicine, including any other medicines you take, so drug interactions can be checked properly.

Full contraceptive protection begins after the first 7 consecutive tablets of the first pack; if the first tablet is taken on day one of the menstrual cycle, protection starts immediately without needing to wait 7 days. With daily, on-time use, effectiveness in preventing pregnancy exceeds 99%. If use is stopped partway through or several tablets are missed in a row, contraceptive protection drops quickly and fertility can return within days, so consistent daily use is needed to maintain effectiveness throughout use.

Where to buy Anna?

Order online at Intimo Life with nationwide Thailand delivery in 1-3 business days. Packed discreetly for privacy, with no product name shown on the parcel box.